Individual provider Active NPI

Dylan J Dempsey, PTA

  • Physical Therapy Assistant
  • Lutherville, MD
National Provider Identifier
1669880555
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A4137 Issued in MD
Practice address
1212 York Rd
Suite C-101
Lutherville, MD 21093-6240
Phone
(410) 321-0377
Fax
(410) 821-7517
NPI assigned
Jul 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A4137 MD Primary

Addresses

Primary practice location

1212 York Rd
Suite C-101
Lutherville, MD 21093-6240

Mailing address

1212 York Rd
Suite C-101
Lutherville, MD 21093-6240
Phone (410) 321-0377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A4137MDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mady and Mules, PA Past Accepting new patients
Mady and Mules, PA PastSince Sep 20, 1991 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1669880555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 YORK RD",
            "address_2": "SUITE C-101",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936240",
            "telephone_number": "410-321-0377",
            "fax_number": "410-821-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 YORK RD",
            "address_2": "SUITE C-101",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936240",
            "telephone_number": "410-321-0377",
            "fax_number": "410-821-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "DYLAN",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A4137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.